Presentation
Work-up for primary infertility with a history of dysmenorrhoea and chronic abdominal pain.
Patient Data
Age: 35 years
Gender: Female
From the case:
Asherman syndrome
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Multiple, irregular. uterine filling defects give rise to a lacuna pattern, with a markedly distorted uterine cavity.
There is prompt free spill bilaterally.
Case courtesy: Dr KP Kobo.
Case Discussion
Typical features of Asherman syndrome are demonstrated by the distorted, uterine cavity secondary to multiple, irregular, uterine synechiae. In the confirmed absence of any prior surgical intervention and pregnancy, the findings are likely due to urogenital tuberculosis (tuberculous endometritis) and chronic sequela thereof in a local tuberculosis-endemic environment.
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